IU School of Medicine Student Portal

Elective Title: 93AN710 — ANESTHESIOLOGY AND PERIOPERATIVE MEDICINE

Description:

The primary aim of this course is to achieve a foundational level of understanding for the practice of anesthesiology as a specialty through involvement in the continuous care of patients from POCU, OR, and PACU until discharge, and at least one subspecialty area. Additionally, students will interact with residents to gain insight into anesthesiology training program expectations, ACGME, and ABA requirements. It is important to note that this course is designed to emphasize critical thinking, deductive reasoning, clinical decision making, and problem-based learning. Active learning will include cognitive, affective, communication, and interpersonal skill development. Clinical experience will be complemented by clinical teaching, didactic sessions/modules, and departmental conferences. Independent and self -directed learning will be required through Canvas modules, assigned reading, case discussions, and reflective writing. Students may work a few afternoon and evening shifts in order to experience call-like schedules and cases, but neither in-house nor at-home call is required. Additionally, students may be presented with the opportunity to participate in simulation sessions with residents and faculty at Fairbanks Simulation Center. Assignment to specific teaching hospitals will be arranged by the course coordinator. Requests for a specific hospital can be made but are not guaranteed to be honored. Students will be assigned for 2 or 3 weeks of perioperative anesthesiology (OR, POCU, PACU) and 1 or 2 weeks of subspecialties. Students will be given an opportunity to rank-order requests for subspecialty assignments: acute pain service, obstetrical anesthesia, and pediatric anesthesia.

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Learning Objectives

• 1) Demonstrate effective and safe airway management (PC4)
• 2) Demonstrate basic monitoring of the patient in surgery and to illustrate invasive monitoring techniques (PC4)
• 3) Describe the autonomic nervous system and effects of anesthesia (MK1)
• 4) Recognize the medications used in operative and perioperative management of surgical patients (MK4)
• 5) Explain the use of the medications used in operative and perioperative management of surgical patients (MK4)
• 6) Manage postoperative care through appropriate selection of postoperative orders (PC3)
• 7) Manage postoperative complications such as acute pain, nausea/vomiting, hemodynamic instability, and respiratory distress (PC4)
• 8) Participate in postoperative visits to assess success of the anesthetic management and patient satisfaction (ICS1)
• 9) Understand the surgical department environment and management and need for efficiency while maintaining patient safety as a primary responsibility (SBP4)
• Acute pain service (APS) 1. Describe the pathophysiology of acute and chronic pain (MK3)
• 2. Describe management of acute postoperative pain (MK4)
• 3. Identify anatomical structures on ultrasound images (MK1)
• 4. Formulate a treatment plan for acute pain management after evaluation and assessment of patients (PC3)
• 5. Participation in the management of acute pain with regional anesthesia techniques, including selection of peripheral nerve block or neuraxial technique and utilization of ultrasound (PC4)
• Obstetric anesthesia (OB) 1. Discuss the physiologic changes associated with pregnancy (MK2) and apply this knowledge to the anesthetic management of obstetric patients (PC1)
• 2. Perform preanesthesia evaluation (PC1)
• 3. Assign and justify ASA Physical Status Classification (PC2)
• 4. Integrate data from a clinical encounter to develop a patient-centered plan of care (PC3)
• 5. Discuss the anatomic considerations of endotracheal intubation and airway management for a parturient (MK1)
• 6. Discuss basic fluid management and hemodynamic changes (PC4)
• 7. Participate in postoperative visits to assess success of the anesthetic management and patient satisfaction (ICS1)
• 8. Understand the labor and delivery department environment and management and need for efficiency while maintaining patient safety as a primary responsibility (SBP4)
• Pediatric anesthesia (PEDS) 1. Evaluate a pediatric patient as to the indications and contraindications for anesthetic management (PC1)
• 2. Discuss the anatomic considerations of endotracheal intubation and airway management for a pediatric patient (MK1)
• 3. Discuss basic fluid management (PC4)
• 4. Discuss the basic monitoring for all anesthetized patients as well as the indications for more invasive monitoring (MK4)
• 5. Describe the anesthetic management for an infant (PC4)
• 6. Discuss risk factors for and management of postoperative nausea and vomiting (MK4)
• 7. Discuss recommendations for the management of postoperative pain in a pediatric patient (MK4)
• 8. Describe indications and contraindications for common regional approaches for postoperative pain management (SBP2)
• 9. Understand assessment and management of the psychological aspects of child for surgery (MK4)

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Assessment

• Clinical Performance Evaluation Form; (Clinical participation, reflective writing, case discussions)

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Enrollment Information

Prerequisites: 4th year status; 3rd years may be allowed during the last three rotations of the academic year

Availability with Max Students per Month:

Apr	May	June	July	Aug	Sept	Oct	Nov	Dec	Jan	Feb	Mar
0	12	12	0	8	8	8	8	6	8	0	0

Duty Hours: 45

Time Distribution: 70% Clinical; 5% Lecture/Seminar; 20% Library/Research; 5% Online

Elective Type Category: CP - Clinical Practice

Notes and Enrollment Information:

Add/Drop Contact Person: Belinda Sanborn (bmsanbor@iu.edu) THIS ELECTIVE DOES NOT PARTICIPATE IN THE INITIAL SENIOR MATCH: Please contact Belinda Sanborn (bmsanbor@iu.edu) if interested in enrolling.

Third Year Elective? No

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Interprofessional Skills and Service Learning

Interprofessional Collaborative Skills: Yes

Skills Description:

Service Learning Included: None